Jessica Castelo, PA
Physician Assistant, Surgical in Paramus, NJ. Individual provider (NPI-1).
NPI number1699458448
StatusActive
Last updated in NPPESAug 9, 2023
Details
- NPI
- 1699458448
- Entity type
- Individual (NPI-1)
- Name
- Jessica Castelo
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2023
- Certification date
- Aug 9, 2023
- Last updated
- Aug 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 25MP00788700 | NJ | Yes |
Practice location
650 From Rd Ste 420Paramus, NJ 07652-3551
Phone 201-639-6620
Mailing address
1012 Quail PlBrielle, NJ 08730-1116
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